The difference is

Munck Wilson Mandala’s insurance fraud team is known to be meticulous, detail-oriented, efficient, and, most importantly, effective. We provide results-oriented representation in all aspects and types of insurance fraud cases in federal and state courts. Our clients have recovered millions of dollars in exposure or potential loss in connection with insurance fraud schemes. Our services include:

Complex Investigations

The Munck Wilson Mandala team conducts complex investigations on behalf of health insurance carriers to identify fraudulent activities and violations of licensing, anti-kickback, and self-referral laws on both the federal and state levels. We have broad experience using analysis to identify indicators of fraud. We manage investigations relying on tips from patients, whistleblowers, and third parties and we understand our client’s internal processes and procedures.

Fraud Prosecution

Munck Wilson Mandala prosecutes fraud of all levels, from smaller civil fraud schemes performed by an individual to complex, multi-million-dollar fraud brackets that violate the Racketeer Influenced and Corrupt Organizations (RICO) Act. We work tirelessly to obtain favorable verdicts and recover losses on behalf of our clients. The attorneys of the Munck Wilson Mandala team have successfully prosecuted multi-million-dollar cases against healthcare providers on behalf of major insurance carriers, serving as lead counsel in all phases of discovery, litigation, and dispute resolution.

Fraud Defense

The Munck Wilson Mandala team defends medical providers, including medical device manufacturers, pharmaceutical companies, and other health care providers against fraud accusations. We have disproven allegations ranging from petty soft fraud to serious violations of the Anti-Kickback Statute, Stark Law, and Hatch-Waxman Act. Our team handles cases where we have had damages in the millions dismissed, and juries have ruled entirely in favor of our clients, allowing them to recover the legal fees accrued by the lawsuit.